Ch. 7, § 24. Change in Provider Status

(a) If a nursing facility's participation in the Medicaid program is terminated or suspended for any reason, it must submit a cost report for the period ending with the effective date of the termination or suspension if that cost report is needed for rate setting. The cost report is due within forty-five days after the date of termination or suspension, regardless of the nursing facility's tax period. The final month's payment due a nursing facility will be withheld until its cost report is filed and the Department has a reasonable time to perform a desk review and field audit of the cost report and patient funds account. (b) Change of ownership. (i) The parties to a transaction involving a change of ownership of a nursing facility must notify the Department in writing of the proposed transaction at least thirty days before the effective date of the change. (ii) Upon a change of ownership, all parties to the transaction shall have thirty days after the change to complete and sign a representation statement, in written form specified by the Department, which details the persons or entities which have assumed the assets and liabilities of a nursing facility. If a representation statement is not timely submitted, both the original provider and any subsequent provider shall be jointly and severally responsible for all Medicaid liabilities which exist either before or after the change of ownership. (iii) Once a change of ownership has occurred, the previous owner will no longer be able to bill for dates of service beginning the date of the change in ownership. Rate and assessment letters will not be distributed to a new owner until the new owner completes enrollment, and the Department approves the change.